Management of acute heart failure in the intensive care unit
Pediatric heart failure (PHF) is a heterogeneous syndrome arising from varied etiologies including congenital heart disease, genetic, infective, inflammatory, and metabolic disorders. The aim of acute heart failure (HF) management is to achieve euvolemic state with adequate cardiac output and periph...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-05-01
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| Series: | Journal of Pediatric Critical Care |
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| Online Access: | https://journals.lww.com/10.4103/jpcc.jpcc_22_25 |
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| author | Chidhambharam Lakshmanan Priyavarthini Venkatachalapathy Parvathy S. Menon R. Vikram Rajkumar |
| author_facet | Chidhambharam Lakshmanan Priyavarthini Venkatachalapathy Parvathy S. Menon R. Vikram Rajkumar |
| author_sort | Chidhambharam Lakshmanan |
| collection | DOAJ |
| description | Pediatric heart failure (PHF) is a heterogeneous syndrome arising from varied etiologies including congenital heart disease, genetic, infective, inflammatory, and metabolic disorders. The aim of acute heart failure (HF) management is to achieve euvolemic state with adequate cardiac output and peripheral perfusion. Management is guided by the severity of HF and assessment of volume and perfusion status of the patient. This includes pharmacological interventions such as diuretics, inotropes, vasodilators, timely, and appropriate use of invasive and noninvasive ventilation. Early achievement of these goals will help avoid deleterious effects of inotropes on already failing myocardium and a smooth transition to oral HF medicines. In children who are not stabilized with medical management, early initiation of mechanical circulatory support (MCS) including extracorporeal membrane oxygenation and ventricular assist devices, before onset of significant organ dysfunction should be considered. MCS serves as a bridge to recovery or transplantation or decision-making or occasionally as destination therapy. |
| format | Article |
| id | doaj-art-c42458daaa574aef907b5352a90af0d9 |
| institution | DOAJ |
| issn | 2349-6592 2455-7099 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pediatric Critical Care |
| spelling | doaj-art-c42458daaa574aef907b5352a90af0d92025-08-20T02:44:28ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992025-05-0112313414210.4103/jpcc.jpcc_22_25Management of acute heart failure in the intensive care unitChidhambharam LakshmananPriyavarthini VenkatachalapathyParvathy S. MenonR. Vikram RajkumarPediatric heart failure (PHF) is a heterogeneous syndrome arising from varied etiologies including congenital heart disease, genetic, infective, inflammatory, and metabolic disorders. The aim of acute heart failure (HF) management is to achieve euvolemic state with adequate cardiac output and peripheral perfusion. Management is guided by the severity of HF and assessment of volume and perfusion status of the patient. This includes pharmacological interventions such as diuretics, inotropes, vasodilators, timely, and appropriate use of invasive and noninvasive ventilation. Early achievement of these goals will help avoid deleterious effects of inotropes on already failing myocardium and a smooth transition to oral HF medicines. In children who are not stabilized with medical management, early initiation of mechanical circulatory support (MCS) including extracorporeal membrane oxygenation and ventricular assist devices, before onset of significant organ dysfunction should be considered. MCS serves as a bridge to recovery or transplantation or decision-making or occasionally as destination therapy.https://journals.lww.com/10.4103/jpcc.jpcc_22_25diureticsinotropesmechanical circulatory supportpediatric heart failure |
| spellingShingle | Chidhambharam Lakshmanan Priyavarthini Venkatachalapathy Parvathy S. Menon R. Vikram Rajkumar Management of acute heart failure in the intensive care unit Journal of Pediatric Critical Care diuretics inotropes mechanical circulatory support pediatric heart failure |
| title | Management of acute heart failure in the intensive care unit |
| title_full | Management of acute heart failure in the intensive care unit |
| title_fullStr | Management of acute heart failure in the intensive care unit |
| title_full_unstemmed | Management of acute heart failure in the intensive care unit |
| title_short | Management of acute heart failure in the intensive care unit |
| title_sort | management of acute heart failure in the intensive care unit |
| topic | diuretics inotropes mechanical circulatory support pediatric heart failure |
| url | https://journals.lww.com/10.4103/jpcc.jpcc_22_25 |
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